The findings outlined in this book describe a service in inner London that cannot be sustained because it is unable to meet the demands imposed upon it. Services in outer London are comparable with those in other English cities. The mental illness services are in a state of transition, and ...

This paper examines four major policy developments which are forcing changes in medical staffing arrangements and also in the reconfiguration of clinical services within and between hospitals. These developments are the primary care-led NHS, the New Deal on junior doctors' hours, the Calman report on specialist medical training and the ...

This report is the fifth in a series of reports prepared to inform the work of the King's Fund London Commission. It emphasises the diversity of London's older people, and highlights the fact that individual requirements for well-coordinated, patient-centred care are incompatible with the complex pattern of service provision in ...

This is the fourth in a series of reports published for the London Commission by the King's Fund. It focuses attention on the question of how transforming health care in London to meet the needs of the next century can be addressed. Reviewing the experience of the last five years, ...

This report is a case study of primary-secondary substitution as an achievable means of reconfiguring health care in London and the UK more generally. It systematically reviews the available local, national and international evidence on the potential for cost-effective primary-secondary substitution of emergency care. The evidence relating to substitution and ...

This report has been commissioned by the King's Fund London Commission as part of a range of work undertaken to revisit the needs of London's population for health care and progress in changing the pattern of health services in the capital. The study looks at capital schemes over £10 million ...

This is a report of a survey undertaken on behalf of the King's Fund London Commission. It provides an overview of the current configuration of acute hospital services in London, and consists of a description of the method and data sources used for the survey, a profile of acute services ...

This is the third in a series of reports published for the London Commission by the King's Fund. It makes the case for an integrated approach to health care in the capital. Currently, although health care involves a set of discrete activities which interact with each other across primary, secondary ...

This is one of the supporting papers informing the work of the King's Fund London Commission. It identifies and catalogues needs assessment work undertaken by London's health authorities or relating to local health needs in London between 1993-96. It also examines the range of approaches to and methods of needs ...

This report provides a comprehensive review of the health and health care of the population of London, based on a variety of published and unpublished data sources. The report considers London in three ways: first, by providing comparisons between different parts of the capital; second, by comparing areas of London ...